Abstract
Pain is a common aftereffect following a dental treatment, especially extractions. Hence, the main aim of the study was to compare the effect of pre-operative and post-operative analgesic usage on post-operative pain management following dental treatment. Moreover, the efficacies of three types of painkillers (Paracetamol, Ibuprofen and Mefenamic Acid) in pain relief were also evaluated. Volunteers (n = 120) who were undergoing extraction participated in this study and were randomly divided into two groups. One group consisting of 60 participants were given pre- and post-operative analgesics while another group (n = 60) received post-operative analgesics only. A visual scale was used to record pain from zero to 56 hours post-operatively at 8-hour intervals. The results showed that patients who were taking analgesics pre-operatively experienced significantly (p = 0.0045) less pain compared to those who had taken post-operative analgesics only However, a lower cumulative number of moderate and severe experiences of post-extraction pain was recorded for the pre- and post-operative analgesic treatment groups as compared to the postoperative only analgesic treatment group; no significant differences were observed. Moreover, no significant differences were observed among the analgesics used in this study as well. On the basis of these results, we conclude that preoperative analgesic usage has a positive impact on postextraction acute pain management.
Highlights
Pain increases the anxiety and suffering from patients
The results showed that patients who were taking analgesics pre-operatively experienced significantly (p = 0.0045) less pain compared to those who had taken post-operative analgesics only a lower cumulative number of moderate and severe experiences of post-extraction pain was recorded for the pre- and post-operative analgesic treatment groups as compared to the postoperative only analgesic treatment group; no significant differences were observed
From cumulative and periodical evaluation of postextraction pain until 56 hours, it was observed that the total number of times pain was reported by patients of Group A was lower than that of Group B
Summary
Pain increases the anxiety and suffering from patients. it helps clinicians to assess the condition, differentiate the causes, diagnose the root cause, and treat the cause at a much earlier stage, thereby preventing more severe problems for the patients 1. Various methods have been followed to relieve pain either conservatively or post-operatively. Several studies have been conducted to ascertain the role of pre- and/or post-operative analgesic usage on the regulation of post-operative oral pain. Hutchinson et al, in their study, showed that use of pre-operative piroxicam (40 mg) reduced doses of paracetamol in the first 24 h following recovery from anesthesia, while no opioid analgesia was required after surgical removal of lower third molars under general anesthesia 3. Pre-operative single oral dose of valdecoxib showed well-tolerated and effective analgesic effects on post-operative bunionectomy pain 4. Vicoprofen was reported as an effective post-operative analgesic medication in the management of acute post-operative dental pain 5. The effects of pre- and post-operative ibuprofen in preventing post-operative pain has been acknowledged by several researchers 6. Tooth extraction is one of the common procedure which produces
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